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SKJOADIN <br /> —COUNTY - <br /> c" ""' v'°"' '` Environmental Health Department <br /> Hazardous Materials Business Plan (HMBP) Training Program <br /> Per Health and Safety Code 25505(a)(4,training for all employees and annual training, including <br /> refresher courses, shall include familiarity with the facility's Emergency response plans and <br /> procedures in the event of a release or threatened release of a hazardous material.Training <br /> shall cover, but not limited to, all of the following: <br /> (A) Immediate notification contacts to the appropriate local emergency response personnel and <br /> to the unified program agency. <br /> (B) Procedures for the mitigation of a release or threatened release to minimize any potential <br /> harm or damage to persons, property,or the environment. <br /> (C) Evacuation plans and procedures, including immediate notice,for the business site. <br /> These training programs may take into consideration of each employee. The use of this sign-in <br /> sheet is optional.The facility can choose to use any acceptable form to record the training(s). <br /> Employee(s)Training Sign In Form <br /> Course Name: - Date: <br /> HIwi3� Tr..rrtrn D2�2o�20'7� <br /> Facility Name: InstruCct1or's Name: <br /> Facility AddrzesZs25 t'tA,oubt_ �t,A.1o(J I�,, . CERS ID: <br /> b'-Pz'6I`If3 <br /> Type(s)of Training: ❑ Classroom Lecture ❑Tabletop Exercise ❑ Hands on <br /> Ll Field Exercise PrSafety Meeting <br /> Summary of Training Topics Discussed: <br />' �CCnuaq,�µ ut52 �< Q�d PrtXada.�aK i1 Cu-a.�+F ert <br /> ¥ rlal,t,rofr.nn oo�r� to�H.,e a�i(J2pru�__ LOC..L -0-�nwsn-e�u 0 <br /> C U Pok . <br /> '40 .J. ��aL.wG' 0 ll4.cv r c(,cwt fie. <br /> � EYgLudCr. S d PlDL.A S <br /> REV. 11/18/2019 HMBP Program <br />